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医学生专业心理健康求助意向相关因素的现状:一项中国的横断面研究

Status of professional mental health help-seeking intention associated factors among medical students: a cross-sectional study in China.

作者信息

Qiu Lei, Wangzhou Kaixin, Liu Yudan, Ding Jindong, Li Hui, Ma Jinhui

机构信息

International School of Public Health, Hainan Medical University, Hainan, China.

School of Management, Hainan Medical University, Hainan, China.

出版信息

Front Psychiatry. 2024 Jun 4;15:1376170. doi: 10.3389/fpsyt.2024.1376170. eCollection 2024.

Abstract

AIM

Low professional help-seeking intention (PHSI) hinders effective treatment of mental illness. PHSI among Chinese students is still understudied and under-recognized. This study aimed to evaluate the status of PHSI and its associated risk factors among Chinese medical students.

METHODS

A cross-sectional survey was conducted in Hainan province, South China, between January 1, 2021, and May 31, 2021. A total of 2182 medical students were recruited and surveyed via an anonymous structured questionnaire. Logistic regression analyses were performed to identify the factors associated with PHSI.

RESULTS

Among the 2182 medical students (mean age 21.0 years (SD = 3.70), 61.5% females), those with and without PHSI were 72.0% and 28.0%, and 16.4% with moderate to severe depression. Male students, those with a high level of depression stigma, serious family dysfunction, and heavy dependence on mobile phones were significantly less likely to seek professional mental health help, with odds ratios (ORs) of 1.5, 2.0, 2.1, and 1.7, respectively.

CONCLUSION

A significant proportion of Chinese medical students demonstrate low PHSI, influenced by factors such as gender, depression stigma, family dysfunction, and mobile phone dependence. Future interventions aimed at increasing medical students' PHSI should prioritize reducing depression stigma, mitigating reliance on mobile phone use, and enhancing family function to address these key barriers to seeking professional mental health support.

摘要

目的

较低的专业求助意愿(PHSI)阻碍了精神疾病的有效治疗。中国学生的专业求助意愿仍未得到充分研究和认识。本研究旨在评估中国医学生的专业求助意愿状况及其相关风险因素。

方法

于2021年1月1日至2021年5月31日在中国南方的海南省进行了一项横断面调查。通过匿名结构化问卷招募并调查了总共2182名医学生。进行逻辑回归分析以确定与专业求助意愿相关的因素。

结果

在2182名医学生中(平均年龄21.0岁(标准差=3.70),61.5%为女性),有和没有专业求助意愿的学生分别占72.0%和28.0%,16.4%有中度至重度抑郁。男生、抑郁污名程度高、家庭功能严重失调以及严重依赖手机的学生寻求专业心理健康帮助的可能性显著降低,比值比(OR)分别为1.5、2.0、2.1和1.7。

结论

相当一部分中国医学生表现出较低的专业求助意愿,受性别、抑郁污名、家庭功能失调和手机依赖等因素影响。未来旨在提高医学生专业求助意愿的干预措施应优先减少抑郁污名、减轻对手机使用的依赖并增强家庭功能,以消除这些寻求专业心理健康支持的关键障碍。

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